目的 分析年龄与发育进程问卷在高危儿系统管理中的应用,为建立更为高效的系统管理模式提供依据。方法 将2012年3月-2013年3月出生于某社区的高危儿作为研究对象,选取125例作为高危儿观察组,使用年龄与发育进程问卷在发育关键月龄对高危儿进行筛查,在同一社区选取127名高危儿作为高危儿对照组,按照原有方式进行系统管理。在随访2年后对两组高危儿的随访率、转诊率以及与两组儿童未来生存质量有关的智能发育水平、社会-情绪进行对比分析。结果 高危儿观察组的随访率为92.8%、转诊率为43.2%,均高于对照组,差异有统计学意义(P<0.05)。高危儿观察组的智能发育得分(90.25±3.16),高于高危儿对照组,差异有统计学意义(P<0.01)。社交-情绪得分(65.91±1.03)低于高危儿对照组,差异有统计学意义(P<0.05)。结论 将年龄与发育进程问卷用于高危儿系统管理,能提高高危儿的随访率和转诊率,提升高危儿的智能水平和社会-情绪能力,进而改善高危儿的生存质量。

Objective To investigate the application of the ages and stages questionnaires in high-risk infants systematic management,and to provide evidences for building a more efficient system management mode. Methods A total of 252 high-risk infants who were born in a community from March 2012 to March 2013 were divided into two groups:the 125 cases who were selected as the observation group were examined by the ages and stages questionnaires in important period of the growth,the other 127 cases as a control group were examined by the original systematic management.After 2 years of follow- up,the follow-up rate,the referral rate,the intelligence development level and social-emotional level related to the future quality of life were analyzed. Results The follow-up rate of observation group was 92.8%,and the referral rate was 43.2%,which were higher than those of control group,the difference was statistically significant (P<0.05).The intelligence development level of observing group score (90.25±3.16),higher than that of high-risk infants in the control group,the difference was statistically significant (P<0.01).Social-emotional score (65.91±1.03),below the control group,the difference was statistically significant (P<0.05). Conclusion The application of the ages and stages questionnaires in of high-risk infants systematic management can improve the follow-up rate and referral rate of high-risk infants,raising the level of intelligence and social-emotional ability in high-risk infants,and then improve the quality of survival in high-risk infants.